Health Insurance: National Medical Support Notice

The National Medical Support Notice is a court order that requires the noncustodial parent’s employer (or other person providing health insurance) to enroll the child(ren) in the parent’s health insurance plan.

The order also authorizes the employer to deduct the cost of the health care premiums from the noncustodial parent's earnings.

Yes, the child(ren) should be enrolled in dental and vision insurance if it is available at no cost or at a reasonable cost. If cost exceeds 5% of the parents gross monthly income, contact the DCSS for further review.

If the medical insurance cards come directly to the employee, the employee should give the cards to the employer to forward to the custodial party or the the DCSS. DCSS will then forward the cards to the custodial party.

If the employer is not able to convince the employee to surrender the cards, then it becomes the employer’s responsibility to have the provider either send the cards directly to the employer or to DCSS.

When contacting the health care provider to request the medical insurance cards, you should include a copy of the court order and ask to speak to a supervisor or legal counsel. If these attempts are unsuccessful, contact DCSS.

Health insurance enrollment is court ordered. If the employee refuses to cooperate then the employer shall enroll the child(ren) without the employee’s assistance. The employee does not have to be involved. On the signature line of the enrollment forms write, “Per court order - copy attached.”

If the employee is not currently enrolled, and their enrollment is required to enroll the child(ren), then you will be required to enroll the employee.

If the child(ren) lives out of state or outside of the insurance coverage area, some insurance providers may have a “guest membership enrollment” available where insurance coverage may extend to another state. If the medical provider cannot cover an out of state child, please contact DCSS.